Contributes to completion of technical tasks independently and as part of a team.
Analyzes claims data and reviews Federal and State Medicaid law, regulation, and policy.
Develops data-driven solutions to business challenges of advanced scope/complexity
Uses predictive modeling to increase and optimize customer experiences, efficiencies, process improvements, and other business outcomes.
Assists with identifying opportunities for leveraging Medicare and Medicaid data to drive insightful business solutions.
Present findings to a range of audiences (technical/non-technical) and to various levels of leadership.
Performs additional duties as assigned.
Effectively communicate with team members while working remotely

Bachelors Degree and at least 8 years of experience in Medicaid with specific experience in Fraud Investigation
8 + years of related experience

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts
dental plan options
a vision plan
a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match.
paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave
GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year.
Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees.
other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available.

Functional Analyst – Medicaid Investigation

Key skills